<p>So I've thought about it a little bit, and my initial impression is the same one I have now: we don't have nearly enough information at this point. I doubt you do either.</p>
<p>If credibility of the grades was the only problem -- it's not, but bear with me -- then medical school committees would simply rely on the MCAT, which has very extreme security measures in place. They run into the "We don't know what your transcript means" problem all the time: schools they're not familiar with, unique majors, etc. This is one of the key purposes of standardized testing. If a known cheater has a 4.0 and a 28, he's simply sunk.</p>
<p>What's much more serious, of course, is the ethical implications. At this stage, I think it's possible that a medical school might still have some interest. It depends on who exactly you have become in light of this incident. If you can write and talk about it in a way that demonstrates contrition, an understanding of what you've done wrong, a firm avoidance, and a hunger for atonement -- then maybe, just maybe, somebody will be interested.</p>
<p>Claiming contrition is different from demonstrating it. First, confess to everything, not just to what you've been caught for. Offer to repeat any classes in which you have cheated, whether you've been caught or not. Write personal letters of apology to each and every professor, whether you were caught or not. Second, volunteer for extra security measures during medical school examinations. You will be writing many, many essays on this subject, and you need to have and to show that you take this seriously. If your classmates get closed-book, take-home exams, you need to be willing to take them in a classroom under a professor's supervision. Whether the school actually takes you up on this is up to them; you need to be willing to submit to extra scrutiny.</p>
<p>Third, I think the suggestions to take time off are very good ones. Find a place with personal growth -- maybe a low-paying, hard-work job -- and grow as much as you can from the people around you. Move to a new town, sign up for a job you never thought you'd do, and learn everything you can. (For example, if you're from the same background as I am, an immigrant family living in California, I would think a couple of years working construction in Amarillo, Texas would be very good for you.) Or, better yet, join the military.</p>
<p>In my mind, here's how your essay on the subject would look:
--It would explain why you did what you did (high pressure situation) without justifying it. Be clear that you actively chose an immoral decision.
--It would give all details, whether or not you were caught. It would explicitly provide a list of the courses in which you cheated and it would describe your infractions in detail.
--It would emphasize that you understood why this was wrong, and that you accepted consequences beyond those assigned to you. In addition to accepting guilt, you wrote personal letters of apology and offered to make up any work your professors requested -- even in courses where they had been none the wiser.</p>
<p>--Finally, you imposed an "exile" of sorts on yourself to try and gain a firmer foundation for your values. You understand that you got caught up in pressures and needed time to build a character that could withstand them in the future.</p>
<p>--Perhaps most importantly, you understand the importance of not repeating this mistake and you are willing to prove it. You are willing to submit to whatever extra scrutiny the school feels necessary. You are willing to submit to subject testing in any of the undergraduate courses the admissions department still feels wary of.</p>
<p>If you do all of these things and if you mean them, I think it is possible -- possible -- that some medical schools, somewhere, will take a second look at you. Here's hoping that everything works out, in the long run, for the best.</p>